Use the following form to submit your information to the Alumni office. Your email address and website may be included in the public online directory if you wish.

Personal Information

*First Name:

Middle Initial:

*Last Name:

Suffix:

Maiden Name:

Gender: Male Female

Address Information

*Street Address:Your street address (e.g. 123 Main Street)

*City:

*State (If U.S.): Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Choose 'Select a State' if you live outside the U.S.

Country:Your country of residence.

*Zip/Postal Code:

Contact Information

Email:Must be a valid email address

Phone:In the format ###-###-#### (leave blank if international)

Web Address:Your website address if available

Online Directory

Show Me Online: Yes No Do you want to be included in the online directory?

Please note: The online Alumni Directory is a public document available to anyone with internet access. The following information is shown online: name, class year, email address, and web address. All other information is kept private.

Career Information

*Graduating Class:

Degree Program:

Current Occupation:

Current Company:

Comments

Comments:

Use in Alumni News: Yes No Would you like to include this comment in the next Alumni News?

Alumni Board of Directors

Volunteer:I am interested in serving as a volunteer with the Alumni Board of Directors

Submit Your Information